| NPI | 1689672578 |
|---|---|
| Former Legal Business Name | DBA CASA COLOMA HEALTH CARE |
| Entity Type | Organization |
| Authorized Contact | DEBBIE PORTELA Administrator 916-363-4843 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: CA 1000001) |
| Enumeration Date | 2005-07-13 |
| Last Update Date | 2008-06-13 |